Carotid endarterectomy in an asymptomatic patient with contralateral agenesis of the internal carotid artery Theofanis Konstantopoulos, MD, MSc, Georgios.

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Presentation transcript:

Carotid endarterectomy in an asymptomatic patient with contralateral agenesis of the internal carotid artery Theofanis Konstantopoulos, MD, MSc, Georgios Galanopoulos, MD, PhD, Stayros Theodorou, MD, Ioannis Tsoutsas, MD, Elias Kaperonis, MD, PhD, Vassilios Papavassiliou, MD, PhD Journal of Vascular Surgery Cases Volume 1, Issue 4, Pages 254-257 (December 2015) DOI: 10.1016/j.jvsc.2015.08.006 Copyright © 2015 The Authors Terms and Conditions

Fig 1 Color duplex findings. A, An ulcerated type III atherotic plaque in the orifice of the right internal carotid artery (RICA). B, Turbulent flow due to a 70% stenosis in the RICA orifice. Journal of Vascular Surgery Cases 2015 1, 254-257DOI: (10.1016/j.jvsc.2015.08.006) Copyright © 2015 The Authors Terms and Conditions

Fig 2 A, Three-dimensional reconstruction of a computed tomography angiography (CTA) image. The left common carotid artery (CCA) is hypoplastic (red arrow), the left vertebral artery is dilated, and the right internal carotid artery (ICA) stenosis can be noted (blue arrow). B, The right ICA can be seen in the carotid duct (blue arrow). On the left side, there is absence of the carotid duct (red arrow). Journal of Vascular Surgery Cases 2015 1, 254-257DOI: (10.1016/j.jvsc.2015.08.006) Copyright © 2015 The Authors Terms and Conditions

Fig 3 Intraoperative images. A, Ulcerated atherotic plaque. B, Synthetic Dacron patch (Intervascular, Le Ciotat, France) closure with the use of selective shunting (LeMaitre Vascular Inc, Burlington, Mass). Journal of Vascular Surgery Cases 2015 1, 254-257DOI: (10.1016/j.jvsc.2015.08.006) Copyright © 2015 The Authors Terms and Conditions